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General NPI Number Information
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NPI Number | 1356493647
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Entity Type | Organization
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Legal Business Name | JUDITH FLEISCHMAN & WILLIAM CHAMBREAU, PRTNRS
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 07/07/2008
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Provider Practice Location Address
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Address Line | 1803 LOUISIANA BLVD NE SUITE E-2
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-6900
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Country | US
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Telephone | 505-266-5959
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Fax | 505-286-1027
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Provider Business Mailing Address
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Address Line | 1803 LOUISIANA BLVD NE SUITE E-2
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-6900
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Country | US
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Telephone | 505-266-5959
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Fax | 505-286-1027
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Authorized Official
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Title or Position | GENERAL PARTNER AND PROVIDER
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Name | WILLIAM CHAMBREAU
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Credential | LMSW AND LPCC
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Telephone | 505-247-8853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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